Provider Demographics
NPI:1316425507
Name:MONCURE, BRITTANY L (PA-C)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:L
Last Name:MONCURE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 CENTRE AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1302
Mailing Address - Country:US
Mailing Address - Phone:412-623-3333
Mailing Address - Fax:412-605-1017
Practice Address - Street 1:5200 CENTRE AVE STE 307
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1302
Practice Address - Country:US
Practice Address - Phone:412-623-3333
Practice Address - Fax:412-605-1017
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA065704363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0494789Medicaid